PMID: 6973325Aug 1, 1981Paper

Clinical significance of erosive gastritis in patients with alcoholic liver disease and upper gastrointestinal hemorrhage

Annals of Surgery
I J SarfehG L Juler

Abstract

Since, in many patients with alcoholic liver disease and upper gastrointestinal hemorrhage, varices and erosive gastritis frequently coexist, the purpose of this study was to assess the severity of hemorrhage, rebleeding and mortality rates when these lesions are present singly or concomitantly. In 104 patients not operated upon, 31 had both lesions present on endoscopic examination, and their clinical courses paralleled the severity of 29 patients who had bleeding varices as the sole finding. In 13 patients with alcoholic liver disease and upper gastrointestinal hemorrhage who were found to have erosive gastritis as the sole lesion, the clinical course was as benign as in 31 patients with ethanol-induced gastritis without liver disease, and their blood loss, rebleeding and mortality rates were significantly less than in patients with both varices and gastritis. It is concluded that the course and prognosis of upper gastrointestinal hemorrhage in patients with alcoholic liver disease and erosive gastritis is dependent upon the presence or absence of gastroesophageal varices.

References

Jan 1, 1978·The Journal of Trauma·I J Sarfeh, J A Balint
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Citations

Feb 1, 1986·Digestive Diseases and Sciences·H SankaryG R Mason
May 1, 1986·The Japanese Journal of Surgery·K NagamineK Sugimachi
Jun 28, 2003·Best Practice & Research. Clinical Gastroenterology·Stephan Teyssen, Manfred V Singer
Mar 11, 1998·Journal of Clinical Gastroenterology·A S SoinS Nundy
Jan 1, 1989·Baillière's Clinical Gastroenterology·A K Burroughs, P A McCormick
Mar 10, 2001·The Annals of Thoracic Surgery·R P Scott
Nov 14, 1983·The American Journal of Medicine·K J Ivey
Jul 1, 1990·Journal of Hepatology·H WeilerW Gerok
Aug 1, 1994·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Y NishizakiP H Guth
Nov 1, 1988·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·A S TarnawskiH Gergely
Mar 2, 2006·Digestive Diseases·Andreas FrankeManfred V Singer
Jan 1, 1985·Acta Medica Scandinavica. Supplementum·H O Conn
Oct 30, 1998·Journal of Gastroenterology and Hepatology·A Toyonaga, T Iwao

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